To: Board of Supervisors
From: Dr. Grant Colfax, Health Services Director
Report Title: Contract #27-169-24 with Lifelong Medical Care
☒Recommendation of the County Administrator ☐ Recommendation of Board Committee
RECOMMENDATIONS:
APPROVE and AUTHORIZE the Health Services Director, or designee, to execute on behalf of the County Contract #27-169-24 with Lifelong Medical Care, a non-profit corporation, in an amount not to exceed $5,000,000, to provide primary care physician (PCP) services including urgent care, acupuncture and other specialty medical services for Contra Costa Health Plan (CCHP) members and county recipients for the period July 1, 2025 through June 30, 2026.
FISCAL IMPACT:
Approval of this Contract will result in annual expenditures of up to $5,000,000 and will be funded as budgeted 100% by CCHP Enterprise Fund II revenues.
BACKGROUND:
CCHP has an obligation to provide certain PCP services including urgent care, acupuncture, and specialty medical health care services, for its members under the terms of their Individual and Group Health Plan membership contracts with the County. This Contractor is a Federally Qualified Health Center (FQHC) facility and has been a part of the CCHP Provider Network providing these PCP and specialty medical services while fostering a deep understanding of the CCHP organization’s mission, values, and long-term objectives since February 1997.
This Contract is entered into under and subject to the following legal authorities: California Government Code §§ 26227 and 31000; Health and Safety Code § 1451. Health Services Personnel approved this Contract to ensure no conflicts with labor relations. Contractor currently cooperates and participates in CCHP’s Quality Management Program which consists of quality improvement activities to improve the quality of care, services and member experience. Cooperation includes collection and evaluation of performance measurement data and participation in the organization’s clinical and service measure Quality Improvement Programs. Per Administrative Bulletin 600.3 CCHP Physician services are exempt from solicitation requirements.
On June 25, 2024, the Board of Supervisors approved Contract #27-169-22 with Lifelong Medical Care, in an amount not to exceed $4,200,000, for the provision of PCP services including urgent care, acupuncture and specialty medical services for CCHP members and County recipients for the period July 1, 2024 through June 30, 2025.
On February 7, 2025, the Board of Supervisors approved Contract Amendment #27-169-23 with Lifelong Medical Care, effective July 1, 2024, to include a value-based payment incentive (Pay for Performance incentive), with no change in the payment limit of $4,200,000 and no change in the term.
Approval of Contract #27-169-24 will allow the Contractor to continue providing PCP services including urgent care, acupuncture and specialty medical services for CCHP members and County recipients through June 30, 2026. Contract delay was due to extended negotiations of Contract terms between Division and Contractor.
CONSEQUENCE OF NEGATIVE ACTION:
If this Contract is not approved, certain PCP services including urgent care, acupuncture and specialty medical services for CCHP members under the terms of their Individual and Group Health Plan membership Contract with the County will not be provided and such services may be delayed.